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AJPH First Look, published online ahead of print Apr 1, 2008
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Intervening to Reduce Inequalities in Infections in Europe

Jan C. Semenza, PhD, MPH and Johan Giesecke, MD, PhD

The authors are with the Unit of Scientific Advice, European Centre for Disease Prevention and Control (ECDC), Stockholm, Sweden.


Figure 1
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FIGURE 1— Comprehensive approach to intervening on inequalities in infections.

Note. Structural determinants (e.g., political context, income, education) frame intermediary determinants (e.g., housing, occupational conditions) and give rise to social stratification. This process leads to different vulnerabilities and exposures between the better- or worse-off socioeconomic groups, which manifest as health inequities. These inequalities in turn have differential consequences and exacerbate social stratification. Interventions are designed to target the 10 essential public health functions that are fundamental and indispensable to public health.

 





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